CARESOUTH CAROLINA INC – NPI #1174833511
Clinic/Center

CARESOUTH CAROLINA INC is an AHC clinic located in SOCIETY HILL, SC. NPPES has assigned the NPI number 1174833511 to CARESOUTH CAROLINA INC on October 19, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 9 years ago on Mar 20, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARESOUTH CAROLINA INC below.

NPI Profile for
CARESOUTH CAROLINA INC

NPI Number
1174833511
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARESOUTH CAROLINA INC
Primary location
737 S MAIN STREET
SOCIETY HILL, SC 29593
Phone: (843) 378-4501 Fax: (843) 378-4209
Mailing address
201 SOUTH FIFTH ST
HARTSVILLE, SC 29550
Phone: (843) 857-0111 Fax: (843) 857-0150
Organization Subpart
No
Authorized Official
ANN LEWIS
CEO
Phone: (843) 857-0111
Updated
Identifiers

Identifiers for CARESOUTH CAROLINA INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCZA9329
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
122300000X
- Dentist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.